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General NPI Number Information
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NPI Number | 1609044304
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Entity Type | Organization
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Legal Business Name | DEPARTMENT OF VETERANS AFFAIRS
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 9600 VETERANS DRIVE
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City | TACOMA
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State | WA
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Zip | 98493-0001
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Country | US
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Telephone | 253-582-8440
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Fax | 253-589-4156
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Provider Business Mailing Address
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Address Line | 9600 VETERANS DRIVE
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City | TACOMA
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State | WA
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Zip | 98493-0001
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Country | US
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Telephone | 253-582-8440
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Fax | 253-589-4156
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Authorized Official
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Title or Position | MEDICAL LAB TECHNICIAN
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Name | DONALD BRIGGS
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Credential |
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Telephone | 253-582-8440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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